“/” wiring (Durukan weave) to prevent sternal cutting by wires: a propensity score matched comparison with Robicsek weave

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dc.contributor.authorDurukan, A.B.
dc.contributor.authorGurbuz, H.A.
dc.contributor.authorDurukan, E.
dc.contributor.authorZeinalabedini, H.
dc.contributor.authorTunc, O.
dc.date.accessioned2024-05-19T14:33:30Z
dc.date.available2024-05-19T14:33:30Z
dc.date.issued2023
dc.departmentİstinye Üniversitesien_US
dc.description.abstractIntroduction: Sternal closure still causes morbidity/mortality following sternotomy. Robicsek weave, cable systems, rigid plates and nitinol clips are systems employed to prevent sternal dehiscence. Aim: The aim was to document the effectiveness of a novel method using standard sternal wires decreasing load on wires and spreading load on the lateral sternum to prevent sternal cutting by wires and thus sternal dehiscence. Material and methods: 756 patients who underwent coronary revascularization with sternotomy between July 2018 and November 2022 were retrospectively analyzed. Fifty patients with “/”wiring were compared with 50 patients with Robicsek weave by propensity score matching. “/” wiring (Durukan weave) spreads load laterally on the sternum by lateral sequential knotting of wires instead of midline knotting. Outcomes were superficial and deep sternal wound infection and non-infectious sternal dehiscence. Results: There were 50 patients in each group. Mean age of the patients was 65.74 ±7.47 in Robicsek weave and 66.12 ±7.23 in Durukan weave. The perioperative characteristics of patients were comparable as propensity score matching was performed. None developed superficial sternal wound infection in Robicsek weave, whereas 2% (1) in “/”wiring. There was no deep sternal wound infection in each group. Non-infectious sternal dehiscence did not occur in either group. Conclusions: “/” wiring seems to be a safe and cost-effective method for sternal closure for preventing sternal cutting by wires, therefore preventing sternal wound related problems and dehiscence. The method is cheap, easily applicable and less time consuming than Robicsek weave, which was proven to be the safest method for sternal wire closure. © 2023 Termedia Publishing House Ltd.. All rights reserved.en_US
dc.identifier.doi10.5114/kitp.2023.129540
dc.identifier.endpage76en_US
dc.identifier.issn1731-5530
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-85167915406en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage72en_US
dc.identifier.urihttps://doi.org/10.5114/kitp.2023.129540
dc.identifier.urihttps://hdl.handle.net/20.500.12713/4256
dc.identifier.volume20en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherTermedia Publishing House Ltd.en_US
dc.relation.ispartofKardiochirurgia i Torakochirurgia Polskaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240519_kaen_US
dc.subjectBone Wiresen_US
dc.subjectSternumen_US
dc.subjectSurgical Wound Dehiscenceen_US
dc.title“/” wiring (Durukan weave) to prevent sternal cutting by wires: a propensity score matched comparison with Robicsek weaveen_US
dc.typeArticleen_US

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